Angela Eubanks

Individual provider Active NPI Personal Care Attendant · Warner, OK

NPI 1750754362 · NPPES record last updated Nov 4, 2015

Key facts

NPI
1750754362
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
1012 5TH Ave
Warner, OK 74469-6900
Phone
(918) 463-5171
Fax
(918) 463-2542
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Warner Public Schools Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

1012 5TH Ave
Warner, OK 74469-6900

Mailing address

1012 5TH Ave
Warner, OK 74469-6900
Phone (918) 463-5171

Other providers in Warner, OK

All providers in Warner, OK · Personal Care Attendant in Oklahoma

Sources for this page

Verify at the official NPI Registry.